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I do not know how much of it is due to YANA Mac, but it sounds as if you are doing all you can and everything right. Keep the faith and keep us posted.
Best wishes Don O.
Looks like you are a good candidate for Active Surveillance. UCSF active surveillance protocol is: gleason 6 or less, less than a third of your cores positive, no core greater than 50% cancer, and PSA less than 10. Be advised that the Oncotype DX test must be done with needle biopsy tissue samples less than 6 months old or they won't certify the results. They will still do the test with samples under 1 year but no certification. Since you are going to UCSF you can have your next needle biopsy done by Dr. Shinahara. He Is one of the best in the world for reading the ultrasound images.
I commend you on not jumping the gun on this. You have time to sort this out. Studies have shown that men that defer treatment with low risk disease actually have better outcomes. When or if you decide to have treatment you will most likely not be offered ADT3. The best study I have found on primary treatment using ADT3 is 2011 ASCO annual meeting abstract e15198. 200 patient were followed for 10 years. This study would suggest that you would have better than an 80% chance of going 8 years or more before you would need to be retreated.
Sounds like you are doing everything right! I too am on AS (May will be 2 years), and I have numbers very similar to yours (My PSA is lower though).
I think we are making the right choice. no rush to treat. taking care of myself, etc. if I had to treat soon, I have given myself 2 extra years of normal life with my wife.
